JOSHUA BENNER PA
NPI 1982358818
Physician Assistant in Lexington, KY

Active since February 09, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
310 S LIMESTONE, LEXINGTON, KY 40508(859) 226-7063(859) 226-7266 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2022, Feb 9, 2022 (2 updates tracked since 2022).

About Joshua Benner Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA BENNER PA (NPI 1982358818) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC318) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Frankfort.

NPPES Registry Identity

NPI1982358818
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSHUA BENNERCredential: PA
Location Address310 S LIMESTONELexington, KY 40508-3008
Mailing Address122 Piedmont LnFrankfort, KY 40601-3763 · (502) 352-5737
Fax(859) 226-7266
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 9, 2022
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1982358818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · TC318
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License TC318 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License TC318 (KY)
310 S LIMESTONE, Lexington, KY 40508

Secondary Practice Location 1

Location 1122 Piedmont LnFrankfort, KY 40601-3763 · Phone (502) 510-2488

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joshua Benner Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890162192
PECOS Enrollment IDI20221028002174
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
310 S LIMESTONE
LEXINGTON, KY 40508
Student in an Organized Health Care Education/Training Program
310 S LIMESTONE
LEXINGTON, KY 40508
Internal Medicine
310 S LIMESTONE
LEXINGTON, KY 40508
Nurse Practitioner
310 S LIMESTONE
LEXINGTON, KY 40508
Psychiatry & Neurology (Psychiatry)
310 S LIMESTONE
LEXINGTON, KY 40508
Student in an Organized Health Care Education/Training Program
310 S LIMESTONE
LEXINGTON, KY 40508
Registered Nurse (Emergency)
310 S LIMESTONE
LEXINGTON, KY 40508
Anesthesiology
310 S LIMESTONE
LEXINGTON, KY 40508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Benner's NPI number?

The NPI number for Joshua Benner is 1982358818. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Joshua Benner located?

Joshua Benner practices at 310 S Limestone, Lexington, KY 40508. The listed phone number is (859) 226-7063.

What is Joshua Benner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joshua Benner enrolled in Medicare?

Yes. Joshua Benner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joshua Benner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Joshua Benner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joshua Benner affiliated with any hospitals?

According to CMS data, Joshua Benner is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Benner was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.